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Organization

DERMONE DERMATOLOGY ASSOCIATES OF TEXAS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON THOMAS (AVP CONTRACTING & PRICING)
(732) 864-5129
Entity
Organization

Contact information

Practice address
1100 ORCHARD DR STE B, ARLINGTON, TX 76012-2519
(800) 337-6663
Mailing address
200 BARR HARBOR DR STE 200, CONSHOHOCKEN, PA 19428-2979
(848) 240-2812

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003084914
INDIVIDUAL NPI
01
1487951844
INDIVIDUAL NPI
01
1700932076
INDIVIDUAL NPI
01
1710283783
INDIVIDUAL NPI
01
1780734582
INDIVIDUAL NPI
01
1790865970
INDIVIDUAL NPI
01
1962402040
INDIVIDUAL NPI
Enumeration date
08/02/2013
Last updated
03/17/2018
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